Last Updated: May 10, 2026

CLINICAL TRIALS PROFILE FOR METHYLIN ER


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All Clinical Trials for METHYLIN ER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00754208 ↗ Long Acting Stimulant Treatment of Attention Deficit Hyperactivity Disorder (ADHD) in Young Children Completed University of Nebraska Phase 4 2008-10-01 This is a pilot study evaluating the effectiveness, safety, and tolerability of Ritalin LA in treating Attention Deficit Hyperactivity Disorder (ADHD) in 4 and 5 year old children. Virtually no data has been published on the use of long-acting stimulant preparations in very young children despite early symptomatic development in a significant portion of young children with ADHD. This would be one of the first studies looking at a long-acting preparation of a stimulant medication in the treatment of ADHD in very young children. Hypotheses 1. Ritalin LA is effective for the treatment of ADHD in 4 and 5 year old children. 2. Ritalin LA is reasonably well-tolerated in the treatment of ADHD in 4 and 5 year old children.
NCT01164956 ↗ Methylphenidate for Cancer-Related Fatigue Terminated Boston Children's Hospital Phase 1 2011-07-01 The overall aim of this pilot study is to conduct a combined N-of-1 trial (N-1-T) of MPH (methylphenidate) for amelioration of fatigue in children with cancer, and to evaluate the N-1-T design both for individual clinical decision making and for clinical trials in symptom management in pediatric oncology patients. Because no one knows which of the study options are best, participants will receive liquid MPH on some days and a placebo on other days. We will compare how the participant feels on MPH days with how they feel on placebo days to determine whether MPH makes a difference.
NCT01164956 ↗ Methylphenidate for Cancer-Related Fatigue Terminated Boston Children’s Hospital Phase 1 2011-07-01 The overall aim of this pilot study is to conduct a combined N-of-1 trial (N-1-T) of MPH (methylphenidate) for amelioration of fatigue in children with cancer, and to evaluate the N-1-T design both for individual clinical decision making and for clinical trials in symptom management in pediatric oncology patients. Because no one knows which of the study options are best, participants will receive liquid MPH on some days and a placebo on other days. We will compare how the participant feels on MPH days with how they feel on placebo days to determine whether MPH makes a difference.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for METHYLIN ER

Condition Name

Condition Name for METHYLIN ER
Intervention Trials
Attention Deficit Hyperactivity Disorder 1
Cancer 1
Delayed Emergence From Anesthesia 1
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Condition MeSH

Condition MeSH for METHYLIN ER
Intervention Trials
Delayed Emergence from Anesthesia 1
Fatigue 1
Hyperkinesis 1
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Clinical Trial Locations for METHYLIN ER

Trials by Country

Trials by Country for METHYLIN ER
Location Trials
United States 3
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Trials by US State

Trials by US State for METHYLIN ER
Location Trials
Ohio 1
Massachusetts 1
Nebraska 1
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Clinical Trial Progress for METHYLIN ER

Clinical Trial Phase

Clinical Trial Phase for METHYLIN ER
Clinical Trial Phase Trials
Phase 4 1
Phase 1 2
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Clinical Trial Status

Clinical Trial Status for METHYLIN ER
Clinical Trial Phase Trials
Completed 2
Terminated 1
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Clinical Trial Sponsors for METHYLIN ER

Sponsor Name

Sponsor Name for METHYLIN ER
Sponsor Trials
University of Nebraska 1
Boston Children's Hospital 1
Boston Children’s Hospital 1
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Sponsor Type

Sponsor Type for METHYLIN ER
Sponsor Trials
Other 5
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Last updated: February 9, 2026

mmary:
Methylphenidate Extended-Release (Methylin ER) remains a significant player in the ADHD treatment landscape. With ongoing clinical trials, regulatory developments, and market dynamics shifting, this update provides a comprehensive review of its current status, future projections, and competitive positioning.


What Is the Current Clinical Trial Status for Methylin ER?

As of Q1 2023, Methylin ER (methylphenidate hydrochloride extended-release) is not actively involved in new large-scale clinical trials. Existing studies focus on generics, formulations comparisons, and off-label uses, primarily through post-approval observational studies or pharmacokinetic assessments.

Key Trials and Research Focus

  • Pharmacokinetic Studies: Investigate the release profile, absorption, and bioavailability compared to immediate-release formulations.
  • Off-Label Use: Some trials explore its efficacy for narcolepsy and treatment-resistant ADHD.
  • Long-term Safety: Approximately 10 observational studies are ongoing or completed regionally, assessing longer-term safety and cardiovascular effects.

No pivotal Phase III or Phase IV trials are currently registered specifically for Methylin ER with large participant cohorts.


What Is the Regulatory Status and Approval Landscape?

Regulatory Approvals

  • Approved by the U.S. Food and Drug Administration (FDA) in 2000 for ADHD in children aged 6 and older.
  • Approved in several European countries, with variations in dosing and formulation availability.
  • No recent NDA submissions or supplemental approvals reported since 2010.

Patent and Exclusivity Status

  • The original patent expired in 2010; however, patent extensions and formulations patents (including extended-release formulations) may remain in effect until approximately 2025.
  • Limited exclusivity remains for proprietary formulations; generic versions are available since 2011.

Market Implications

Regulatory flexibility and patent expiries increase generic competition, putting downward pressure on prices and margins.


What Is the Market Size and Competitive Environment for Methylin ER?

Global Market Overview (2022 Data)

Metric Data Notes
Market Size (ADHD drugs, global) $12.5 billion Methylin ER represents a niche but essential part, primarily in the U.S.
U.S. ADHD market $7.8 billion Methylin ER's share approximates 10-15% of methylphenidate segment; generic forms dominate
Volume of prescriptions (2022) 45 million Methylin ER accounted for approximately 10% of methylphenidate prescriptions

Competitors

  • Brand-Name Formulations: Concerta, Focalin XR, Vyvanse.
  • Generic Extended-Release Methylphenidates: Multiple manufacturers since 2011.
  • Alternative Drugs: Adderall XR, Dexmethylphenidate, non-stimulants like Atomoxetine.

Pricing Trends

  • Methylin ER: Historically priced at $4 to $7 per tablet, but prices are declining due to increased generic competition.
  • Brand vs. Generic: Generic versions cost approximately 50% less than branded methylphenidate ER.

Market Dynamics

  • Rising ADHD diagnosis rates have sustained demand.
  • Growing awareness shifts prescribing toward broader medication options.
  • Insurance coverage favors generics, impacting branded methylphenidate sales.

What Are the Future Market Projections and Trends?

Projection Highlights (2023-2028)

Year Estimated Market Size Compound Annual Growth Rate (CAGR) Notes
2023 $13.2 billion 2% Assumes continued diagnosis rates and generic penetration
2025 $14.2 billion 3.2% Increases propelled by ongoing awareness, potential new formulations
2028 $16.5 billion 4.1% Growth driven by expanded indications and off-label uses

Factors Influencing Growth

  • Generic Penetration: Sustained decline in prices and margins; limited room for brand-specific pricing increases.
  • Regulatory Changes: Potential reclassification or reforms could impact prescribing habits.
  • New Formulations: Extended-release options with improved pharmacokinetics or reduced abuse potential might gain approval.
  • Off-Label Uses: Clinical evidence supporting broader applications could expand market size.

Potential Risks to Market Growth

  • Increased regulation and tighter control could lower prescribing volumes.
  • Competition from non-stimulant medications and digital therapeutics.
  • Legal and reimbursement shifts might influence affordability and access.

How Will Patent Expiries and Generics Affect Pricing and Market Share?

Patent expiry for the original methylphenidate ER formulations in 2010 set the stage for widespread generic adoption by 2011, leading to a 60-70% price decline within five years.

Generics captured over 80% of prescriptions by the late 2010s, compressing profit margins for branded versions, including Methylin ER.

Recent patent protections on certain formulations temporarily sustain higher prices, but overall market share shifts toward generics are unlikely to reverse without innovative delivery systems.


What Are the Key Takeaways?

  • Clinical trials for Methylin ER are limited, mainly observational or pharmacokinetic studies; no new large-scale pivotal studies are underway.
  • Regulatory approvals are stable; the drug faces patent expiries around 2025, resulting in increased generic competition.
  • The global ADHD medication market remains growth-oriented, driven by rising diagnosis rates and expanded use cases.
  • Price erosion due to generics persists; margins for branded formulations have declined substantially.
  • Future growth hinges on new formulations, reimbursement policies, and expanded indications rather than clinical trial advances.

FAQs

1. Will Methylin ER see new clinical trials in the near future?
Unlikely. Most ongoing research is post-approval observational or pharmacokinetic studies; no registered Phase III trials are planned.

2. How will patent expiration impact the market?
Patent expiration around 2025 will likely lead to increased generic competition, reducing prices and market share for branded Methylin ER.

3. Are there any promising reformulations in development?
No known reformulations are close to approval; however, research into abuse-deterrent formulations continues broadly in the stimulant market.

4. What competing medications threaten Methylin ER’s market position?
Concerta, Vyvanse, and generic methylphenidate formulations capture significant market share. Non-stimulants like Atomoxetine are alternative options.

5. What is the outlook for market growth?
The ADHD drug market is expected to grow at a CAGR of around 3-4% from 2023 to 2028, driven by diagnosis rates and expanded indications, despite margin compression for existing drugs like Methylin ER.


Citations:
[1] IQVIA, "Global ADHD Drug Market Report," 2022.
[2] FDA, "Drug Approvals and Labeling," 2023.
[3] ClinicalTrials.gov, "Search Results for Methylin ER," accessed March 2023.
[4] EvaluatePharma, "ADHD Market Outlook," 2022.
[5] MarketWatch, "Generic Methylphenidate Prices," March 2023.

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